Table 2 Prospective and retrospective diagnoses for patients with torsion, torsion and stimulation, stimulation, asymmetric ovarian edema and PCOS
Indication for MRI | History of stimulationa | Prospective interpretation | Reviewer #1 | Reviewer #2 | Consensus reviewer | Asymmetric T2 signal | Final Diagnosis |
|---|---|---|---|---|---|---|---|
LLQ pain | No | Left tubal torsion | Left tubal torsion | Left tubal torsion | N/A | Yes | Torsion |
RLQ pain | No | Right ovarian torsion | Asymmetric enlargement of right ovary, possible torsion | Asymmetric enlargement of right ovary, possible PCOS | Right ovarian torsion | Yes | Torsion |
RLQ pain | No | Possible right torsion | Edematous right tube, unclear etiology | Asymmetric ovaries, possible PCOS or torsion | N/A | No | Torsion (with possible ovarian fibroma at pathology) |
LLQ pain | Yes | Stimulated ovaries | Stimulated ovaries | Stimulated ovaries | N/A | No | Torsion (diagnosed by MRI 4 days later) with necrosis at surgery/pathology |
RLQ pain | Yes | Right ovarian torsion | Right ovarian torsion | Right ovarian torsion | Right ovarian torsion | Yes | Torsion |
RLQ pain | Yes | Right torsion | Suggestive of right torsion | Stimulated ovaries | Stimulated ovaries | Yes | Torsion |
RLQ pain | Yes | Asymmetric enlargement of right ovary | Right torsion vs. asymmetric stimulation | Right torsion | Stimulated ovaries | No | Stimulated ovaries |
Abdominal pain | Yes | Right torsion | Right torsion | Right torsion | N/A | Yes | Asymmetric ovaries since time of egg retrieval |
Pain (N = 6 patients) | Yes | Stimulated ovaries | Stimulated ovaries | Stimulated ovaries | N/A | No | Stimulated ovaries |
Pain | Yes | Stimulated ovaries | Normal ovaries | Normal ovaries | N/A | No | Stimulated ovaries |
Fetal anomaly | Yes | Stimulated ovaries | Stimulated ovaries | Stimulated ovaries | N/A | No | Stimulated ovaries |
Uterine sarcoma surveillance | Yes | Resolving ovarian stimulation | Stimulation of PCOS | PCOS | N/A | No | Resolving ovarian stimulation |
RLQ pain | No | Asymmetrically enlarged edematous right ovary | Normal versus early/intermittent right torsion | Normal | Asymmetric right ovarian edema | Yes | Asymmetric ovarian edema |
RLQ pain | No | Asymmetrically enlarged edematous right ovary | Asymmetrically enlarged edematous right ovary | Right torsion | N/A | Yes | Asymmetric ovarian edema |
RLQ pain | No | Right ovarian torsion | Right torsion | Right torsion | Right torsion | Yes | Edematous right ovary with a corpus luteum |
RUQ pain | Yes | Stimulated ovaries | Stimulated ovaries | Stimulated ovaries | N/A | No | Stimulated ovaries, PCOS |
RLQ pain | Yes | Stimulated ovaries, right pelvic hematoma status post egg retrieval | Stimulated ovaries, right pelvic hematoma | Stimulated ovaries | N/A | No | Stimulated ovaries, pelvic hematoma, PCOS |
RLQ pain | No | Right torsion, PCOS | Possible right torsion | Edematous right ovary, PCOS | N/A | Yes | PCOS, normal ovaries seen 1 year later at tubal ligation |